Date: Time: Work Area:

Auditor:
Score (circle one)
0 1 2 3 4+
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
Subtotal: Distinguish between what is needed and not needed /15
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
Subtotal: A place for everything and everything in its place /20
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
/20
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
/20
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
/25
Subtotal /100
Safety item found Reported to Date Resolved Resolution
` -
/100
Notes:
For each safety issue , subtract 3 points from subtotal
Unneeded equipment, supplies, inventory, tools, furniture, etc. are present anywhere
Min/max levels or Kanban or visual inventory controls not present / used properly
Documents & info. are available and controlled (SWS, audits, comm.boards, samples)
How many items, relevant to the work, can't be located in 5 / 30 seconds
Checklists not used cleaning and maintenance jobs (if no checklists score zero)
Other cleaning problems ( of any kind ) are present
Cleaning materials are not easily accessible
Shine
( Cleanliness )
Subtotal: Cleaning, keeping and it clean and organized
Items are not in there correct places (check aisle ways, stairways, corners, etc.)
Aisle ways, workstations, equipment locations are not indicated
How many works have personal belongings not neatly stored.
Audits are not being preformed effectively (not taken seriously or dealt with)
Red tag area items are not properly tagged or dispositioned in a timely manner
Lines, labels, signs, etc. are dirty, torn, missing or not readable
Set In Order
( Orderliness )
Correct places for items are not obvious
Quality and QTY. Information are not obvious (Docs. & Samples)
Floors, walls, stairs, equipment, surfaces have dirt, oil and grease present
Passing Score is 80
Sustain
( Self-discipline )
Subtotal: Discipline to maintain and improve
Subtotal: Maintain and monitor the first three categories
Standardize
( Adherence )
Safety
(any Safety related items
found during audit).
Subtract 3 points for
each item found)
How many workers have not had 5'S training or are not following 5S rules
Grand Total
Supervisor is part of the sustaining process (participating in change for the better)
Last scheduled 5S audit was not done for this area
5S Audit Checklist - Workplace Evaluation Rev 4, 2010
Item # of Problems w Category
Items are present in aisle ways, stairways, corners, under equipment, etc. Sort
( Organize )
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Date: Time: Work Area:
Auditor:
0 1 2 3 4+
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
/35
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
How many items, relevant to the work, can't be located in 5 / 30 seconds? 5 4 3 2 0
Workers are showing that they are aware of basics of 5S or job standards 5 4 3 2 0
5 4 3 2 0
/35
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
5 4 3 2 0
/30
Subtotal /100
Safety item found Reported to Date Resolved Resolution - 3 points/issue
` -
%
Notes:
Safety
(any Safety related items
found during the 5S
audit).
Total lost point for safety issues
Grand Total:
Passing Score is 80%
Previous
Score:
%
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Audits are being preformed regularly (see 5S matrix) or are not taken seriously by workers
Action plans are posted & updated showing tasked responsibilities and accountability
Follow-up by management is performed effectively and tasks are being completed (PDCA)
Workers are not empowered to suggest and improve and/or recommend line stop
Improvement ideas are being generated and are visible (employee and employer)
Subtotal: Discipline to maintain and improve
Is the 5S program discussed during key indicator/production meetings?
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Job status indicators are displayed: (quality, worksheets, audits, andons, scheduling info)
Checklists are used for cleaning and maintenance jobs (if no checklists score zero)
Min/max levels or Kanban or visual inventory controls are present & used properly
PM schedules are posted and updated for equipment
Are standard procedures clear, documented and actively used?
Subtotal: Monitor and prove Sort, Set-in-Order, Shine & Quality
Floors, walls, stairs, equipment, surfaces do not have: debris, dirt, oil and grease, etc.
Do operators habitually sweep floors, and wipe equipment without being told?
Subtotal: Essential items only, all in proper place and clean
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Score (circle one)
Cleaning materials are easily accessible (brooms, dustpans, sprays, cloths, vac)
Are unneeded items of any sort are present or needed items are not available?
Red tag area items are properly tagged or dispositioned in a timely manner
Correct places for items are obvious, or items are in homes.
Paths, item homes/locations are indicated and labels, signs are not missing/worn
5S Advanced Audit - Workplace Evaluation Rev 1 2011
Category Item # of Problems w
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Date: Time:
Auditor:
Score (circle one)
0 1 2 3 4
Unneeded items are on walls, floors, on lockers, etc. 4 3 2 1 0
Items are present in aisle ways, corners, etc. 4 3 2 1 0
Excess, unneeded items are in lockers (random inspection of 2 lockers) 4 3 2 1 0
Subtotal: Distinguish between what is needed and not needed /12
Correct places for items are not obvious 4 3 2 1 0
Items are not in there correct places 4 3 2 1 0
Storage areas or locations are not supplied or indicated 4 3 2 1 0
Subtotal: A place for everything and everything in its place /12
4 3 2 1 0
Lines, labels, signs, etc. are dirty, torn, missing or not readable 4 3 2 1 0
Other cleaning or hygiene problems (of any kind) are present 4 3 2 1 0
Subtotal: Cleaning, keeping and it clean and organized /12
All cleanliness expectations and aids are not known and visible 4 3 2 1 0
Hygiene education and information signs are not visible 4 3 2 1 0
Subtotal: Maintain and monitor the first three categories /8
How many times, last week, was 5'S audit not performed 4 3 2 1 0
How many times that personal belongings are not neatly stored 4 3 2 1 0
Audits are not being preformed effectively (not taken seriously or dealt with) 4 3 2 1 0
Management is part of the sustaining process 4 3 2 1 0
Subtotal: Stick to the rules /16
Safety item found
Reported
to/Owner Date Resolved
Resolution
/
Total
/60
Notes:
Subtotal: Safety Items Found X 3 - Subtract from score
Sustain
( Self-discipline )
Shine
( Cleanliness )
Passing Score is 80%+
Floors, walls, stairs, and surfaces are not free of dirt
Standardize
( Adherence )
Safety
(any Safety related
items found during
audit)
Subtract 3 points for
each item found)
5 S Checklist - Workplace Evaluation:
Washroom / Change Room
# of Problems w
Set In Order
( Orderliness )
Item
Sort
( Organize )
Category
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